Active NPI
George Alfred Leboeuf III, LCSW, LMT
- Clinical Social Worker
- Sandy, UT
National Provider Identifier
1194560615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 13946847-3501
- Practice address
- 57 W 9000 S Ste 104
Sandy, UT 84070-2008 - Phone
- (385) 722-4431
- NPI assigned
- Jun 26, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SWB-2025-1293 | NM | |
| Clinical Social Worker | 1041C0700X | 16063 | CT | |
| Clinical Social Worker | 1041C0700X | 13946847-3501 | UT | Primary |
| Massage Therapist | 225700000X | 13946847-4701 | UT |
Addresses
Primary practice location
57 W 9000 S Ste 104
Sandy, UT 84070-2008
Mailing address
57 W 9000 S # 104
Sandy, UT 84070-2008
Phone (385) 722-4431
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16063 | CT | MD | Clinical Social Worker |
| SWB-2025-1293 | NM | MD | Clinical Social Worker |
| 13946847-3501 | UT | MD | Clinical Social Worker |
| 13946847-4701 | UT | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Stability LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Sandy, UT
- NPI 1164214128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776038400000",
"number": "1194560615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 W 9000 S # 104",
"city": "SANDY",
"state": "UT",
"postal_code": "840702008",
"telephone_number": "385-722-4431",
"fax_number": "844-835-0202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 W 9000 S STE 104",
"city": "SANDY",
"state": "UT",
"postal_code": "840702008",
"telephone_number": "385-722-4431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBOEUF",
"first_name": "GEORGE",
"middle_name": "ALFRED",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "LCSW, LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-26",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "SWB-2025-1293",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "16063",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "13946847-3501",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "UT",
"license": "13946847-4701",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.